| NPI | 1225457757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STORMY DENISE DISMUKE CEO 256-302-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: AL 1-084124) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2016-04-29 |